Markopoulos Titos, Katsimperis Stamatios, Lazarou Lazaros, Tzelves Lazaros, Mitsogiannis Iraklis, Papatsoris Athanasios, Skolarikos Andreas, Varkarakis Ioannis
Urology, Second Department of Urology, National and Kapodistrian University of Athens, Athens, GRC.
Urology, Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, GRC.
Cureus. 2025 May 20;17(5):e84508. doi: 10.7759/cureus.84508. eCollection 2025 May.
Catheter-related bladder discomfort (CRBD) is a common and distressing complication following transurethral urologic procedures such as transurethral resection of the prostate (TURP) and transurethral resection of bladder tumors (TURBT). This prospective observational study investigated the role of preoperative, intraoperative, and postoperative factors in predicting the severity of postoperative bladder spasms. A total of 122 patients were enrolled, and bladder discomfort was assessed using the Visual Analogue Scale (VAS) during their postoperative hospital stay. Most clinical and surgical variables, including anesthesia type, procedure type, catheter type, energy modality, and patient demographics, showed no significant association with bladder discomfort severity. However, catheter balloon volume emerged as a significant predictor, with patients receiving 40 mL balloon volumes reporting higher VAS scores compared to those with smaller volumes (p = 0.003). Additionally, a weak but statistically significant correlation was found between hematocrit drop and VAS scores (rho = 0.18, p = 0.047), suggesting a possible link between intraoperative blood loss and postoperative discomfort. These findings highlight the potential for simple interventions, such as optimizing catheter balloon volume, to alleviate CRBD and enhance postoperative recovery.
导尿管相关膀胱不适（CRBD）是经尿道泌尿外科手术后常见且令人痛苦的并发症，如经尿道前列腺切除术（TURP）和经尿道膀胱肿瘤切除术（TURBT）。这项前瞻性观察性研究调查了术前、术中和术后因素在预测术后膀胱痉挛严重程度中的作用。共纳入122例患者，并在其术后住院期间使用视觉模拟量表（VAS）评估膀胱不适情况。大多数临床和手术变量，包括麻醉类型、手术类型、导尿管类型、能量模式和患者人口统计学特征，与膀胱不适严重程度均无显著关联。然而，导尿管球囊容量成为一个显著的预测因素，接受40 mL球囊容量的患者报告的VAS评分高于球囊容量较小的患者（p = 0.003）。此外，还发现血细胞比容下降与VAS评分之间存在微弱但具有统计学意义的相关性（rho = 0.18，p = 0.047），这表明术中失血与术后不适之间可能存在联系。这些发现凸显了简单干预措施（如优化导尿管球囊容量）在减轻CRBD和促进术后恢复方面的潜力。
